Suicide Risk Assessment with Multi-level Dual-Context Language and BERT

Mental health predictive systems typically model language as if from a single context (e.g. Twitter posts, status updates, or forum posts) and often limited to a single level of analysis (e.g. either the message-level or user-level). Here, we bring these pieces together to explore the use of open-vocabulary (BERT embeddings, topics) and theoretical features (emotional expression lexica, personality) for the task of suicide risk assessment on support forums (the CLPsych-2019 Shared Task). We used dual context based approaches (modeling content from suicide forums separate from other content), built over both traditional ML models as well as a novel dual RNN architecture with user-factor adaptation. We find that while affect from the suicide context distinguishes with no-risk from those with “any-risk”, personality factors from the non-suicide contexts provide distinction of the levels of risk: low, medium, and high risk. Within the shared task, our dual-context approach (listed as SBU-HLAB in the official results) achieved state-of-the-art performance predicting suicide risk using a combination of suicide-context and non-suicide posts (Task B), achieving an F1 score of 0.50 over hidden test set labels.